Organization Active NPI

Diabetic Supplies Depot

  • Durable Medical Equipment & Medical Supplies
  • Mobile, AL
National Provider Identifier
1639315146
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIABETIC SUPPLIES DEPOT
Practice address
1521 Sawada Dr
Mobile, AL 36618-2914
Phone
(251) 490-4478
Fax
(251) 662-2107
NPI assigned
Jan 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Donna Matkin
Title
Medical Billing Specialist
Phone
(251) 490-4478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1521 Sawada Dr
Mobile, AL 36618-2914

Mailing address

1521 Sawada Dr
Mobile, AL 36618-2914
Phone (251) 490-4478

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1639315146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 SAWADA DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366182914",
            "telephone_number": "251-490-4478",
            "fax_number": "251-662-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 SAWADA DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366182914",
            "telephone_number": "251-490-4478",
            "fax_number": "251-662-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC SUPPLIES DEPOT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "MATKIN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "MEDICAL BILLING SPECIALIST",
        "authorized_official_telephone_number": "251-490-4478",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.